Peachtree Neuromonitoring, LLC

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

Legal business name

PEACHTREE NEUROMONITORING, LLC

Practice address

925B Peachtree St NE Ste 750
Atlanta, GA 30309-3918

Phone

(361) 866-3876

NPI assigned

Sep 22, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Doreen Shinn

Title

VP Finance & Billing

Phone

(361) 866-3876

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1609385533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925B PEACHTREE ST NE STE 750",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925B PEACHTREE ST NE STE 750",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093918",
            "telephone_number": "361-866-3876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925B Peachtree St NE Ste 600",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30309",
            "country_code": "US",
            "telephone_number": "361-866-3876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEACHTREE NEUROMONITORING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-22",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SHINN",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "VP FINANCE & BILLING",
        "authorized_official_telephone_number": "361-866-3876"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peachtree Medical Group Inc
• Peachtree Nephrology Consultants LLC
• Peachtree Nephrology PC
• Peachtree Neurological Clinic, P.C.
• Peachtree Neurology Associates, P.C.
• Peachtree Neuropsychological Associates, P.C.
• Peachtree Occupational Medicine & Urgent Care (Peachtree Orthopedic Occupational Medicine-Norcross)
• Peachtree Oral & Maxillofacial Surgery Associates
• Peachtree Orthopaedic Clinic
• Peachtree Orthopaedic Clinic

• Electrodiagnostic Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Electrodiagnostic Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.